The relationship between epicardial adipose tissue thickness and presence of left atrial thrombus in mitral stenosis patients
Rev. bras. cir. cardiovasc
; 35(4): 471-476, July-Aug. 2020. tab, graf
Article
em En
| LILACS, SES-SP
| ID: biblio-1137315
Biblioteca responsável:
BR1.1
ABSTRACT
Abstract Objective:
To examine the relationship between the left atrial (LA) thrombus presence and the epicardial adipose tissue (EAT) thickness.Methods:
Three hundred and twelve consecutive rheumatic mitral valve stenosis (RMVS) patients with mitral valve area (MVA) < 2 cm2 were included in this cross-sectional study. Patients were divided into two groups, those with and those without LA thrombus. Routine biochemical analysis and electrocardiographic examinations were carried out. EAT was measured using transthoracic echocardiography.Results:
LA thrombus was determined in 84 (26.9%) RMVS patients. In echocardiographic examinations, higher mean gradient and LA diameter as well as lower MVA were found in the group with LA thrombus (P<0.001). In this group, higher C-reactive protein (CRP) and EAT values were also determined (P<0.001). There was significant correlation between EAT and MVA, CRP, LA appendage peak flow velocity, LA anteroposterior diameter, and mean gradient (P<0.001). Higher EAT values were identified as independently associated with the presence of LA thrombus (odds ratio 59.5; 95% confidence interval 12.1-290.10; P<0.001).Conclusion:
Transthoracic echocardiography, routinely used in patients with RMVS, can measure EAT to determine patients who are under risk for thrombus.Palavras-chave
Texto completo:
1
Índice:
LILACS
Assunto principal:
Trombose
/
Estenose da Valva Mitral
Tipo de estudo:
Observational_studies
/
Prevalence_studies
/
Risk_factors_studies
Limite:
Adult
/
Aged
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Rev. bras. cir. cardiovasc
Assunto da revista:
CARDIOLOGIA
/
CIRURGIA GERAL
Ano de publicação:
2020
Tipo de documento:
Article